Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TRC - FOUR CORNERS DIALYSIS CLINICS LLC
NPI 1083670723
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tuba City, AZ

Active since April 21, 2006CLIA 03D0713447 · Waiver
2/5
Overall Rating
500 EDGEWATER DRIVE, TUBA CITY, AZ 86045(928) 283-4525(928) 283-4801 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, Sep 23, 2024, Oct 16, 2023 and 4 more (7 updates tracked since 2018).

About Trc - Four Corners Dialysis Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRC - FOUR CORNERS DIALYSIS CLINICS LLC (NPI 1083670723), doing business as Tuba City Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tuba City, Arizona and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1083670723
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTRC - FOUR CORNERS DIALYSIS CLINICS LLC
Location Address500 EDGEWATER DRIVETuba City, AZ 86045-2905
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(928) 283-4801
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 7, 20267 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1083670723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
500 EDGEWATER DRIVE, Tuba City, AZ 86045

Other Names 1

Doing Business AsTuba City Dialysis

Other Identifiers 2

Medicaid472663AZ
Medicaid953372911019UT

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0713447

Tuba City Dialysis · Tuba City, AZ
Active · expires Jan 17, 2027
CLIA Number03D0713447
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorMark F. Bevan, MD
Laboratory Phone(928) 283-4525
Laboratory LocationTuba City Dialysis500 Edgewater Drive, Tuba City, AZ 86045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Tuba City Dialysis (CMS certification number 032506), from CMS Care Compare.

DaVita Tuba City Dialysis

Dialysis facility · Tuba City, AZ
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number032506
ESRD NetworkNetwork 15
Hemodialysis Stations26
Medicare-Certified SinceNovember 15, 1990
Location500 Edgewater Drive PO Box 2910Tuba City, AZ 86045 · Coconino County
Services Offered
In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
48% 1/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
56% 2/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
67% 1/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
44% 1/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
59% 2/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
61% 2/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trc - Four Corners Dialysis Clinics LLC's NPI number?

The NPI number for Trc - Four Corners Dialysis Clinics LLC is 1083670723. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Tuba City Dialysis.

Where is Trc - Four Corners Dialysis Clinics LLC located?

Trc - Four Corners Dialysis Clinics LLC is located at 500 Edgewater Drive, Tuba City, AZ 86045. The listed phone number is (928) 283-4525.

What is Trc - Four Corners Dialysis Clinics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Trc - Four Corners Dialysis Clinics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0713447) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Trc - Four Corners Dialysis Clinics LLC a Medicare-certified dialysis facility?

Yes. DaVita Tuba City Dialysis is a Medicare-certified dialysis facility, certified since November 15, 1990.

What quality rating does Trc - Four Corners Dialysis Clinics LLC have?

CMS rates DaVita Tuba City Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Trc - Four Corners Dialysis Clinics LLC accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Trc - Four Corners Dialysis Clinics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trc - Four Corners Dialysis Clinics LLC was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.